Interserv

LBN: Interfaith Community Services, Inc.
Interserv is an health care organization with primary practice located at 5400 King Hill Ave , Saint Joseph MO 64504-1503. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Interfaith Community Services, Inc. can be contacted via phone (816) 238-4511, or through Supple, Bridget via phone (816) 238-4511.

Contact Information

Primary practice address
5400 King Hill Ave Saint Joseph MO 64504-1503
Phone: (816) 238-4511
Fax: (816) 232-7029
Website:
Map and Directions
Authorized official contact:
Name: Supple, Bridget
Phone: (816) 238-4511

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X Missouri

Profile Details

NPI number 1043382740
LBN Legal business name Interfaith Community Services, Inc.
DBA Doing business as Interserv
Authorized official Supple, Bridget
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043382740 NPPES
Missouri MEDICAID 261711105

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